MRI Needle Guided Biopsy... Who has had one...

taleena
taleena Member Posts: 1,612 Member
edited March 2014 in Breast Cancer #1
Can someone tell me what to expect next Thursday? They get the new table (don't know what that has to do with the price of tea in China).. on Tuesday and have scheduled it for Thursday... The Ultrasound biopsy the Radiologist was right there next to me... I know with MRI's they are in another room.... Is the machine going to make the incision?? Someone please tell me how this works??

I feel like I brought this all on myself... when the surgeon called me to tell me the dx May 20th... I immediately did my research and decided for a lumpectomy... didn't go see an onco dr first just made the decision on my own... just went back to the surgeon and scheduled my lumpectomy... June 9th.. turned into a partial mastectomy... and now it's all just jacked up... so... if anyone is a recently dx'd bc patient... please before you do anything... and I mean anything... once the surgeon or radiologist... or PC says bc.... before you take any action at all... consult with an onco...

I always thought I was an intellegent individual... obviously I blew it here...

~T

Comments

  • Calleen
    Calleen Member Posts: 411
    Taleena
    I just googled this site if you can't access it let me know... http://www.radiologyinfo.org/en/info.cfm?PG=breastbimr

    I don't think you blew it at all!!! I've seen so many different ways the Doctors on here have done things!!! Yours happened sooo fast that maybe your Doctors didn't give you enough time and testing that you needed to make the best decision... Mine was soooo different!!! I had so many tests done prior to surgery that my surgeon recomended.. it was nearly 3 months from dx to surgery... I have not yet seen a onc and I'm hoping that I won't have to have chemo...

    I wish you lived near here OKC.. They have sooo many wonderful Doctors here that make sure you are well informed before you make your choices!!!

    HUGZ.... Calleen
  • m_azingrace
    m_azingrace Member Posts: 399
    Hello taleena. First let me
    Hello taleena. First let me say how sorry I am that you have to do any of this. I had needle biopies on a lump and on an enlarge lymph node. The ultrasound tech and the radiologist worked as a team, using the ultrasound to guide the needle to the lumps. I experienced slight discomfort, as it was totally numbed for this procedure. I was awake, and even able to see the screen somewhat, although to my unskilled eye, it meant little. The radiologist makes the incision and inserts the needle, with is at the end of a long probe with a "trigger" at the end s/he holds in her hand. I suspect the device is similar to a cable shutter used by photographers, that has a kind of plunger on the end that the thumb rests upon. Push, take a picture or Push take a sample...very much the same.
    When the team agrees that the needle is in the right spot according to the screen the radioligist takes the sample. You will hear a click similar to the sound of a staple gun, and perhaps a slight pressure, but there should be no pain. This process will be repeated until they have the samples they want. In my case it took what seemed forever, but was actually not more than 45 minutes. During the entire time, they continued to reassure me, and tried to make me as comfortable as possible.
    Can something go wrong? Yes, something did with mine, but it was so very unusual,rare and unexpected that I don't see the need to go into it. Put your confidence in the trained team, and relax is the best advice I can give. If you are typically a very nervous person, request something to calm you. The worst part was the waiting for results, which can take as much as several days.
    I hope yours goes well and that it's a good report. Remember that the women here are your friends and fellow travelers and are here to offer comfort, information and support on this most unwanted journey. Praying angels surround you and God's arms around you. Gracie

    PS I had the needle biopsy first, then the surgery. I also opted for the lumpectomy, with some lymph nodes removed as well. The surgery was July 21, but I didn't see the oncologist until Aug 13. He's ordered more tests, to determine the best course of chemo for me.
  • taleena
    taleena Member Posts: 1,612 Member

    Hello taleena. First let me
    Hello taleena. First let me say how sorry I am that you have to do any of this. I had needle biopies on a lump and on an enlarge lymph node. The ultrasound tech and the radiologist worked as a team, using the ultrasound to guide the needle to the lumps. I experienced slight discomfort, as it was totally numbed for this procedure. I was awake, and even able to see the screen somewhat, although to my unskilled eye, it meant little. The radiologist makes the incision and inserts the needle, with is at the end of a long probe with a "trigger" at the end s/he holds in her hand. I suspect the device is similar to a cable shutter used by photographers, that has a kind of plunger on the end that the thumb rests upon. Push, take a picture or Push take a sample...very much the same.
    When the team agrees that the needle is in the right spot according to the screen the radioligist takes the sample. You will hear a click similar to the sound of a staple gun, and perhaps a slight pressure, but there should be no pain. This process will be repeated until they have the samples they want. In my case it took what seemed forever, but was actually not more than 45 minutes. During the entire time, they continued to reassure me, and tried to make me as comfortable as possible.
    Can something go wrong? Yes, something did with mine, but it was so very unusual,rare and unexpected that I don't see the need to go into it. Put your confidence in the trained team, and relax is the best advice I can give. If you are typically a very nervous person, request something to calm you. The worst part was the waiting for results, which can take as much as several days.
    I hope yours goes well and that it's a good report. Remember that the women here are your friends and fellow travelers and are here to offer comfort, information and support on this most unwanted journey. Praying angels surround you and God's arms around you. Gracie

    PS I had the needle biopsy first, then the surgery. I also opted for the lumpectomy, with some lymph nodes removed as well. The surgery was July 21, but I didn't see the oncologist until Aug 13. He's ordered more tests, to determine the best course of chemo for me.

    thanks m_azingrace... What
    thanks m_azingrace... What you were refering to, I am guessing is the Ultrasound needle guided biopsy.. I had that last Monday... still have the steril strips on from it... I was wondering about the MRI needle guided biopsy... With an MRI your in that tube... so I'm just trying to figure out how they make the incision and navigate the needle... Thank you so much for your response.. it really is much appreciated.

    Hugs
    ~T
  • taleena
    taleena Member Posts: 1,612 Member
    Calleen said:

    Taleena
    I just googled this site if you can't access it let me know... http://www.radiologyinfo.org/en/info.cfm?PG=breastbimr

    I don't think you blew it at all!!! I've seen so many different ways the Doctors on here have done things!!! Yours happened sooo fast that maybe your Doctors didn't give you enough time and testing that you needed to make the best decision... Mine was soooo different!!! I had so many tests done prior to surgery that my surgeon recomended.. it was nearly 3 months from dx to surgery... I have not yet seen a onc and I'm hoping that I won't have to have chemo...

    I wish you lived near here OKC.. They have sooo many wonderful Doctors here that make sure you are well informed before you make your choices!!!

    HUGZ.... Calleen

    Thanks Calleen... I will try
    Thanks Calleen... I will try that sight... I am trying to figure out how they make the incision and guide the needle if I'm inside the MRI tube... I do have a wonderful Dr. I really do trust him... if he says that this is neccessary.. I will suck it up and let them cut again... oh the joy of this journey..

    Hugs

    ~T
  • m_azingrace
    m_azingrace Member Posts: 399
    taleena said:

    thanks m_azingrace... What
    thanks m_azingrace... What you were refering to, I am guessing is the Ultrasound needle guided biopsy.. I had that last Monday... still have the steril strips on from it... I was wondering about the MRI needle guided biopsy... With an MRI your in that tube... so I'm just trying to figure out how they make the incision and navigate the needle... Thank you so much for your response.. it really is much appreciated.

    Hugs
    ~T

    Taleena, I'm sorry, I
    Taleena, I'm sorry, I misunderstood. I have no information about an MRI guided biopsy. I wasn't even aware that such a procedure was possible. I did have an MRI that followed the needle biopsy, though. I hope it goes well for you. God Bless. Gracie
  • taleena
    taleena Member Posts: 1,612 Member

    Taleena, I'm sorry, I
    Taleena, I'm sorry, I misunderstood. I have no information about an MRI guided biopsy. I wasn't even aware that such a procedure was possible. I did have an MRI that followed the needle biopsy, though. I hope it goes well for you. God Bless. Gracie

    Gracie.. that's okay... see
    Gracie.. that's okay... see that's my confusion.. I've had the MRI... but never used for a biopsy.... just trying to figure out how they actually do it...

    Have a wonderful day~!

    ~T
  • Ifis
    Ifis Member Posts: 5
    MRI Needle biopsy
    Hi, I am sorry you are having a bit of a challenging time. I had this done recently. It wasn't as bad as the previous biopsy I had had done. It was cool because first they put the gel on me and located the tumor. It was quite easy to see on screen and they let me see. Unfortunately, they didn't numb me and they didn't tell me to take tylenol before hand so I could feel it. The needle thing was like a staple gun, which really wasn't so bad after all. Not a walk in the park but manageable. They took 6 samples from me (to be thorough). Then it was done and I went home. I think it took 1 hour. I would recommend that you discuss with your doctor the idea of bringing some tylenol with you so that afterward you could take it, since it did hurt pretty badly on the way home. (have someone drive you home.). I wish you the best of luck!
    Ifis
  • lynn1950
    lynn1950 Member Posts: 2,570
    Taleena, Please Read My Post
    Taleena, please read my post today under a heading that says Where Were You When by Calleen. I did have a needle guided biopsy and the results were ambiguous (although no one told meexplained that to me at the time.) I'm not trying to scare you - just give you some information to think about. Perhaps your situation is different, since you already know you have cancer, and these cells they are extracting are simply to find out more about what kind of cancer is growing.

    Anyway, for the stereotactic biopsy, I was first given a tranquilizer. The nurses and radiologist were wonderful and caring. (I may have had a mammogram before I went into the the actual procedure room, but I don't remember). In the procedure room I lay on my stomach on a table with my breast hanging down. The nurse held my hand and brought me warm blankets. The radiologist guided a very thin needle into the spot that showed possible cancer and extracted cells. He was guided by the image on a screen. Then a titanium marker was left to show where the tissue was taken to be visible on later mammograms. The area was bandaged and I was released to go home (driven by my husband) with instructions for care. The whole thing was painless.

    Your advice to first consult an onco is right on. I wish I had known that when I began this whole journey. PM me if you want more information.

    I will be thinking and praying for you next Thursday. xoxoxoxo Lynn
  • Eil4186
    Eil4186 Member Posts: 949
    Taleena, I am sorry that you
    Taleena, I am sorry that you have to go through all this stress. I had an MRI guided needle biopsy. They did a MRI scan first(exactly like a usual breast MRI). Then they pulled me out of the tube, and with the pictures in front of them, they were able to do the biopsy and I think they could watch the needle on the screen-of course I say "think" because I was a bit freaked out still at that point. They had to do the biopsy this way because the suspicious area was very hard to find otherwise. They implanted a small permanent metal clip in the area in case it turned out to be cancer. Which it didn't, glad because it would have been a second tumor in that breast.

    Don't worry about the procedure. It was a little painful but not outrageous. You will be fine. Good luck and please let us know what happens. Eil
  • taleena
    taleena Member Posts: 1,612 Member
    Eil4186 said:

    Taleena, I am sorry that you
    Taleena, I am sorry that you have to go through all this stress. I had an MRI guided needle biopsy. They did a MRI scan first(exactly like a usual breast MRI). Then they pulled me out of the tube, and with the pictures in front of them, they were able to do the biopsy and I think they could watch the needle on the screen-of course I say "think" because I was a bit freaked out still at that point. They had to do the biopsy this way because the suspicious area was very hard to find otherwise. They implanted a small permanent metal clip in the area in case it turned out to be cancer. Which it didn't, glad because it would have been a second tumor in that breast.

    Don't worry about the procedure. It was a little painful but not outrageous. You will be fine. Good luck and please let us know what happens. Eil

    Thanks Eil.. that does
    Thanks Eil.. that does answer the question... I was wondering... will they pull me out of there to make the incision... does the machine do it?? How do they get the needle in... I am okay with a doctor doing it ... even though I too will be a bit freaked out... however... there is no way... no how... am I letting a computer/machine cut me or stick a needle in me... okay.. they will pull me out and the doctor will do it... that is exactly the information that I was looking for..

    Thank you so much...that makes me feel better...

    Hugs,

    ~T
  • taleena
    taleena Member Posts: 1,612 Member
    lynn1950 said:

    Taleena, Please Read My Post
    Taleena, please read my post today under a heading that says Where Were You When by Calleen. I did have a needle guided biopsy and the results were ambiguous (although no one told meexplained that to me at the time.) I'm not trying to scare you - just give you some information to think about. Perhaps your situation is different, since you already know you have cancer, and these cells they are extracting are simply to find out more about what kind of cancer is growing.

    Anyway, for the stereotactic biopsy, I was first given a tranquilizer. The nurses and radiologist were wonderful and caring. (I may have had a mammogram before I went into the the actual procedure room, but I don't remember). In the procedure room I lay on my stomach on a table with my breast hanging down. The nurse held my hand and brought me warm blankets. The radiologist guided a very thin needle into the spot that showed possible cancer and extracted cells. He was guided by the image on a screen. Then a titanium marker was left to show where the tissue was taken to be visible on later mammograms. The area was bandaged and I was released to go home (driven by my husband) with instructions for care. The whole thing was painless.

    Your advice to first consult an onco is right on. I wish I had known that when I began this whole journey. PM me if you want more information.

    I will be thinking and praying for you next Thursday. xoxoxoxo Lynn

    Thank you Lynn... I know
    Thank you Lynn... I know that during the utrasound needle guided biopsy the nurse held my hand too... that was comforting... I was just trying to figure out how they do it with an MRI... seeing as they are always in another room and your left in that noisy machine...

    Hugs..
    ~T
  • Akiss4me
    Akiss4me Member Posts: 2,188
    taleena said:

    Thanks Eil.. that does
    Thanks Eil.. that does answer the question... I was wondering... will they pull me out of there to make the incision... does the machine do it?? How do they get the needle in... I am okay with a doctor doing it ... even though I too will be a bit freaked out... however... there is no way... no how... am I letting a computer/machine cut me or stick a needle in me... okay.. they will pull me out and the doctor will do it... that is exactly the information that I was looking for..

    Thank you so much...that makes me feel better...

    Hugs,

    ~T

    So that's how they do it
    I always thought they sent a "little person" in there with you!! (teehee!) Pammy
  • fauxma
    fauxma Member Posts: 3,577 Member
    Akiss4me said:

    So that's how they do it
    I always thought they sent a "little person" in there with you!! (teehee!) Pammy

    You have painted a picture
    You have painted a picture in my mind that might not easily be removed. I see this little leprecuan with a green suit, carrying the extractor for the biopsy, climbing up her leg over her tummy and perching on her breast and ever so carefully removing just the right amount of tissue without any pain or discomfort. And then he makes the return trip and hands it to the technician. Thank you Pammy for the visual image. I have way too much imagination and find it so easy to paint this pictures from the most simple suggestion. The thought is actually quite funny.
    And I do hope that the actual MRI guided biopsy goes well for Teleena. It was T, right. My gosh, my non chemo brain is acting up or out. Not sure which.
    Stef
  • taleena
    taleena Member Posts: 1,612 Member
    fauxma said:

    You have painted a picture
    You have painted a picture in my mind that might not easily be removed. I see this little leprecuan with a green suit, carrying the extractor for the biopsy, climbing up her leg over her tummy and perching on her breast and ever so carefully removing just the right amount of tissue without any pain or discomfort. And then he makes the return trip and hands it to the technician. Thank you Pammy for the visual image. I have way too much imagination and find it so easy to paint this pictures from the most simple suggestion. The thought is actually quite funny.
    And I do hope that the actual MRI guided biopsy goes well for Teleena. It was T, right. My gosh, my non chemo brain is acting up or out. Not sure which.
    Stef

    Alright Stef and Pammy... as
    Alright Stef and Pammy... as long as the little green leprecuan is board certified that will be fine. However if it's anything like my breast MRI, he will have to jump on the back of my head, then jump down on my shoulder, walk under my underarm, and then move under the boobie holder... where they will be hanging down like cow utters... last time I went in feet first... Okay what an image this is painting... I am not allowed to think of this Thursday.. .because if I do, the laughter will surely prevent me from holding still!!

    Thanks for the visual and the laugh!

    ♥ & hugs,

    ~T
  • Calleen
    Calleen Member Posts: 411
    taleena said:

    Alright Stef and Pammy... as
    Alright Stef and Pammy... as long as the little green leprecuan is board certified that will be fine. However if it's anything like my breast MRI, he will have to jump on the back of my head, then jump down on my shoulder, walk under my underarm, and then move under the boobie holder... where they will be hanging down like cow utters... last time I went in feet first... Okay what an image this is painting... I am not allowed to think of this Thursday.. .because if I do, the laughter will surely prevent me from holding still!!

    Thanks for the visual and the laugh!

    ♥ & hugs,

    ~T

    Haha
    HAHAHAHAHAAAHAHA... Nothing like a good belly laugh first thing in the morning to begin our day!!!!
  • fauxma
    fauxma Member Posts: 3,577 Member
    taleena said:

    Alright Stef and Pammy... as
    Alright Stef and Pammy... as long as the little green leprecuan is board certified that will be fine. However if it's anything like my breast MRI, he will have to jump on the back of my head, then jump down on my shoulder, walk under my underarm, and then move under the boobie holder... where they will be hanging down like cow utters... last time I went in feet first... Okay what an image this is painting... I am not allowed to think of this Thursday.. .because if I do, the laughter will surely prevent me from holding still!!

    Thanks for the visual and the laugh!

    ♥ & hugs,

    ~T

    See how little I really know
    See how little I really know about this procedure. Yes, you can only think of this after it is all over. Then just lean over or up as the case may be and ask the tech if the leprecaun did alright. THen walk out. That will have them wondering. I am hoping, of course, that this will all go smoothly, painfree and stressfree and most important that it will be a big nothing to worry about.
    Stef